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Clinical Oral Investigations
Published in: Clinical Oral Investigations 4/2024

Open Access 01-04-2024 | Caries | Correspondence

ORCA-EFCD consensus report on clinical recommendation for caries diagnosis. Paper I: caries lesion detection and depth assessment

Authors: Jan Kühnisch, Johan KM Aps, Christian Splieth, Adrian Lussi, Anahita Jablonski-Momeni, Fausto M. Mendes, Gottfried Schmalz, Margherita Fontana, Avijit Banerjee, David Ricketts, Falk Schwendicke, Gail Douglas, Guglielmo Campus, Monique van der Veen, Niek Opdam, Sophie Doméjean, Stefania Martignon, Klaus W. Neuhaus, Keith Horner, Marie-Charlotte DNJM Huysmans

Published in: Clinical Oral Investigations | Issue 4/2024

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Abstract

Objectives

The aim of the present consensus paper was to provide recommendations for clinical practice considering the use of visual examination, dental radiography and adjunct methods for primary caries detection.

Materials and methods

The executive councils of the European Organisation for Caries Research (ORCA) and the European Federation of Conservative Dentistry (EFCD) nominated ten experts each to join the expert panel. The steering committee formed three work groups that were asked to provide recommendations on (1) caries detection and diagnostic methods, (2) caries activity assessment and (3) forming individualised caries diagnoses. The experts responsible for “caries detection and diagnostic methods” searched and evaluated the relevant literature, drafted this manuscript and made provisional consensus recommendations. These recommendations were discussed and refined during the structured process in the whole work group. Finally, the agreement for each recommendation was determined using an anonymous Delphi survey.

Results

Recommendations (N = 8) were approved and agreed upon by the whole expert panel: visual examination (N = 3), dental radiography (N = 3) and additional diagnostic methods (N = 2). While the quality of evidence was found to be heterogeneous, all recommendations were agreed upon by the expert panel.

Conclusion

Visual examination is recommended as the first-choice method for the detection and assessment of caries lesions on accessible surfaces. Intraoral radiography, preferably bitewing, is recommended as an additional method. Adjunct, non-ionising radiation methods might also be useful in certain clinical situations.

Clinical relevance

The expert panel merged evidence from the scientific literature with practical considerations and provided recommendations for their use in daily dental practice.
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Metadata
Title
ORCA-EFCD consensus report on clinical recommendation for caries diagnosis. Paper I: caries lesion detection and depth assessment
Authors
Jan Kühnisch
Johan KM Aps
Christian Splieth
Adrian Lussi
Anahita Jablonski-Momeni
Fausto M. Mendes
Gottfried Schmalz
Margherita Fontana
Avijit Banerjee
David Ricketts
Falk Schwendicke
Gail Douglas
Guglielmo Campus
Monique van der Veen
Niek Opdam
Sophie Doméjean
Stefania Martignon
Klaus W. Neuhaus
Keith Horner
Marie-Charlotte DNJM Huysmans
Publication date
01-04-2024
Publisher
Springer Berlin Heidelberg
Keyword
Caries
Published in
Clinical Oral Investigations / Issue 4/2024
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-024-05597-3

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